Individual
MICHELLE OKOREEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-0928
(909) 387-7607
Mailing address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-0928
(909) 387-7607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A179618
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A179618
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/08/2019
Last updated
10/16/2023
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